Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,842.00 / $5,389.00	Facility		$630.00	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.27 / $507.22 / $757.64	Professional		$423.27	$507.22	$757.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.53 / $5,121.46 / $8,601.43	Facility		$2,666.53	$5,121.46	$8,601.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $610.11 / $708.43	Professional		$514.91	$610.11	$708.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.85 / $620.60 / $838.52	Professional		$428.85	$620.60	$838.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $654.14 / $2,083.65	Professional		$442.47	$654.14	$2,083.65
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $477.85 / $531.49 / $597.61	Professional		$477.85	$531.49	$597.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $675.76	Professional		$32.34	$32.34	$675.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.30 / $577.98 / $1,020.26	Professional		$404.30	$577.98	$1,020.26